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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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FARHOOD, LISA MARIE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 5700 N PORTLAND SUITE 100
OKLAHOMA CITY OK 73112

Address last updated on 6/16/2024
Phone #: (405) 458-7188
Fax #: (405) 384-7128
County: OKLAHOMA
License: 19814
Dated: 7/11/1996
Expires: 7/1/2025
Training Issued: 7/6/1995
Training Expires: 8/1/1996
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1995
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
5700 N PORTLAND SUITE 100
OKLAHOMA CITY OK 73112

Phone #: (405) 458-7188
Fax #: (405) 384-7128
Mon:
Tue:
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